| |
365 W Wesmark Blvd, Sumter, SC 29150-1987 | |
(803) 905-8020 | |
(803) 905-8025 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 365 W Wesmark Blvd, Sumter, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518955087 | NPI | - | NPPES |
CG2815 | Other | SC | RAILROAD MEDICARE |
GP2698 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
367 W Evans St, Florence, SC 29501-3429 Ph: (843) 669-4156 | 365 W Wesmark Blvd, Sumter, SC 29150-1987 Ph: (803) 905-8020 |